HomeMy WebLinkAbout06040097 Application
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City of Carmel/Clay Township Ie / LI Permit #: 01.( fJ,(Ju-'"1
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, lit Two Family: New Structures, Additions, Remodels, lit Accessory Structures
PROPERTY
OWNER:
FAX
BUILDER of
RECORD:
ZIP
BUILDER'S EMAIL ADDRESS
BEST METHOD OF CONTACT:
PHONE
FAX
LOCATION
lit PROJECT
INFO:
LOT #
SUBDIVISION NAME
cm
CLE C
l? lJooD fs
STATE
E
SQUARE
FOOTAGE: ~ C>5'
ESTIMATED COST OF CONSTRUCTION)
(EXCLUDING LAND VALUE) ..p
500
SI
TO
TW
#0
o MULT
# of
iI RESIDE or
Additions, Remodels, Etc.)
PLUMBING CONTRACTOR:
N01J6
R M ADDITION(S) Plumber's Indiana State License #:
CH ADDmON(S) fb~Cfi)
REMODEL (S(jl.eWoD
ACCESSORY BUILDING Which plumbing codes will be applied to the construction:
DETACHED GARAGE 0 International Residential Code w/Indiana Amendments
ATTACHED GARAGE 0
DEMOLITION Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release Manufactured V; FOUNDATION TYPE: (Check all that apply for the new
, /' construction area)
Permit: Y V N Trusses: Y N
- /' - . /. 0 CRAWLSPACE
lot Split: _ Y ~N Sump Pump: _ Y ~N . SLAB (ey.J~
Does any part of t"e propl!rty lie within a speci~1 Flood designation area: _ Y N
o POST & BEAM
o BASEMENT
WALKOUT:_ Y LN
For Single Family and Two Family dwellings, additions, remodels, and/or accessory structures, this permit is valid only if construction commences
within 180 days of thep:fEt~A~~D 'F~yt.I~~~, ~t pe completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I st~fb1.Jre~cnmlts are 111 e~h1 tItH1ehf::Hl-1\&~Yliltrative Rules of the State of Indiana (See 675 lAC 12) regarding expiration
U IJB a camp I i !lMlilJe,Ajj"~ati@asd completing construction.
I, the undersigned, agree that any c~~alitid..G6ahG rgem relocation, or altera~ ~m l5m.!tl:i!~or
structures requested by tlJ!)8fillji''9JI! WI 1J' at ' licablc laws of t . ~aa Carmel
Indiana-199r(Z~289~.:kl}1RQJn~t~, 0 u rautho~tvl5-Y!G~ eq,GencralAssem yo e ta e n a a, n t ory
thereto. I further certif~h!t Tm~kit~i1\, . nlGWNSHI he sanitary sewer. I further certify that the construction will not be
used or occupied until a Cer Beare ofJ?cc A'N~en issued by the Depa tment of Community Services, Carmel, Indiana.
Gi
'-I-/2-0p
Date
~ignature wner or Authorized Agent
OFFICE USE ONLY: ******* *********
INSPECTIONS REQUIRED:
('Upper Footing..) lower Footing
',o~ Meter Base ~~V
** *******************'*****~****************
iling Fees: J 3. J
Y ,
Base Inspections: C. {.,. ;() # Charged Re-
I /" ~ J ReViews
Cert, of Occupancy: 5" '3 ' " (/
~ '
~-{
(Date)
P,R.LF,:
TOTAL: it 5.0'3
$d'/.l~cb~ /y'l1dJ:>
Fee Received .
Additional Fees
sU
'xo d: Dept. of Community Services
U RESIDENTIAL